Individual
SEAN SOMCHENE LUANGPRASEUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8001 W NATIONAL AVE, WEST ALLIS, WI 53214-4507
(414) 327-6363
Mailing address
3443 W VILLA DR, FRANKLIN, WI 53132-8737
(414) 940-9884
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6001631-15
WI
Other
Enumeration date
07/18/2024
Last updated
08/13/2024
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